Healthcare Provider Details

I. General information

NPI: 1306068168
Provider Name (Legal Business Name): ERIN MICHELE CRISSMAN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1214 VAUGHN RD
BURLINGTON NC
27217-2863
US

IV. Provider business mailing address

517 FLAT FORD RD
HILLSBOROUGH NC
27278-2455
US

V. Phone/Fax

Practice location:
  • Phone: 877-714-2100
  • Fax:
Mailing address:
  • Phone: 919-525-5159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA55686
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number0010-09381
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: